The Executive Case Manager provides expertise on insurance coverage and common access and reimbursement challenges affecting patients, healthcare providers and clients. The Executive Case Manager ...
The Executive Case Manager provides expertise on insurance coverage and common access and reimbursement challenges affecting patients, healthcare providers and clients. The Executive Case Manager ...
Executive Case Manager (Remote)
Austin, TX · Remote
$19.75 - $25.50/hr
The Executive Case Manager provides expertise on insurance coverage and common access and reimbursement challenges affecting patients, healthcare providers and clients. The Executive Case Manager ...
Executive Case Manager (Remote)
Austin, TX · Remote
$19.75 - $25.50/hr
The Executive Case Manager provides expertise on insurance coverage and common access and reimbursement challenges affecting patients, healthcare providers and clients. The Executive Case Manager ...
Case Manager
Coalinga, CA · On-site
$22.25 - $28.75/hr
Exceptions are made with CEO approval. Good organizational and liaison capabilitieswith well ... The Lead Case manager, Director of Case Management or a department representative will participate ...
Case Manager
Coalinga, CA · On-site
$22.25 - $28.75/hr
Exceptions are made with CEO approval. Good organizational and liaison capabilitieswith well ... The Lead Case manager, Director of Case Management or a department representative will participate ...
Field Case Manager
Daphne, AL · On-site
The Field Case Manager utilizes their advanced knowledge and professional expertise to ... Coordinate with executive-level personnel on complex cases. * Participate in or attend industry ...
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Field Case Manager
Daphne, AL · On-site
The Field Case Manager utilizes their advanced knowledge and professional expertise to ... Coordinate with executive-level personnel on complex cases. * Participate in or attend industry ...
Field Case Manager
Daphne, AL · On-site
The Field Case Manager utilizes their advanced knowledge and professional expertise to ... Coordinate with executive-level personnel on complex cases. * Participate in or attend industry ...
Quick apply
Field Case Manager
Daphne, AL · On-site
The Field Case Manager utilizes their advanced knowledge and professional expertise to ... Coordinate with executive-level personnel on complex cases. * Participate in or attend industry ...
Registered Nurse - Manager of Case Management
Berlin, VT · On-site
$51.31 - $76.97/hr
JOB SUMMARY Under the direction of executive Case Management leadership, the Manager of Case Management provides leadership, oversight, and accountability for the overall performance of the Case ...
Registered Nurse - Manager of Case Management
Berlin, VT · On-site
$51.31 - $76.97/hr
JOB SUMMARY Under the direction of executive Case Management leadership, the Manager of Case Management provides leadership, oversight, and accountability for the overall performance of the Case ...
Case Manager
Dalhart, TX · On-site
$18.75 - $24/hr
Works closely with executive leadership to address departmental issues and concerns. * Consults ... One year experience as a clinical case manager preferred. Prior experience in quality assurance or ...
Case Manager
Dalhart, TX · On-site
$18.75 - $24/hr
Works closely with executive leadership to address departmental issues and concerns. * Consults ... One year experience as a clinical case manager preferred. Prior experience in quality assurance or ...
Case Manager
Walsenburg, CO · On-site
$40K - $45K/yr
Other duties as assigned by Lead Case Manager, Care Services Director or Executive Director. Minimum Requirements: * Bachelor's Degree in applicable field of social services, business administration ...
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Case Manager
Walsenburg, CO · On-site
$40K - $45K/yr
Other duties as assigned by Lead Case Manager, Care Services Director or Executive Director. Minimum Requirements: * Bachelor's Degree in applicable field of social services, business administration ...
Case Manager
$55K - $70K/yr
Case Manager ID: 1058 Location: Washington, DC More about this job > Description Job Title: Case ... Ability to communicate and present across levels up to executive leadership * Demonstrated ability ...
Case Manager
$55K - $70K/yr
Case Manager ID: 1058 Location: Washington, DC More about this job > Description Job Title: Case ... Ability to communicate and present across levels up to executive leadership * Demonstrated ability ...
Role oversees all daily hospital case management operations in a 516-bed acute care facility. The ... This leader supervises approximately 31 FTEs and collaborates with executive and clinical ...
Role oversees all daily hospital case management operations in a 516-bed acute care facility. The ... This leader supervises approximately 31 FTEs and collaborates with executive and clinical ...
Case Manager Supervisor
New York, NY · On-site
$22 - $28.25/hr
As Case Management Supervisor for one of our Homebase programs, you'll be responsible for providing ... Working with the Executive Director and Assistant Executive Director to evaluate program ...
Case Manager Supervisor
New York, NY · On-site
$22 - $28.25/hr
As Case Management Supervisor for one of our Homebase programs, you'll be responsible for providing ... Working with the Executive Director and Assistant Executive Director to evaluate program ...
CEO Lawyer The CEO Lawyer Personal Injury Law Firm is dedicated to educating, empowering, and ... We are seeking a full-time Case Manager with personal injury, with a minimum of 4-5 years of pre ...
CEO Lawyer The CEO Lawyer Personal Injury Law Firm is dedicated to educating, empowering, and ... We are seeking a full-time Case Manager with personal injury, with a minimum of 4-5 years of pre ...
Special Ed Case Manager (Fully Remote)
Petaluma, CA · Remote
$55 - $75/hr
Special Ed Case Manager ( PART-TIME, Remote - California Only) Only apply if you live in California ... ABOUT US Executive Functions, Inc., dba EF Specialists (EFS), is the most comprehensive executive ...
Special Ed Case Manager (Fully Remote)
Petaluma, CA · Remote
$55 - $75/hr
Special Ed Case Manager ( PART-TIME, Remote - California Only) Only apply if you live in California ... ABOUT US Executive Functions, Inc., dba EF Specialists (EFS), is the most comprehensive executive ...
Case Manager
Howell, MI · On-site
Salary: $22/hour Case Manager The Connection Youth Services Program (TCYS) Full-time, non-exempt ... Additional responsibilities may be assigned as necessary by the Program Director, Executive ...
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Case Manager
Howell, MI · On-site
Salary: $22/hour Case Manager The Connection Youth Services Program (TCYS) Full-time, non-exempt ... Additional responsibilities may be assigned as necessary by the Program Director, Executive ...
Case Manager Supervisor
New York, NY · On-site
$22 - $28.25/hr
As Case Management Supervisor for one of our Homebase programs, you'll be responsible for providing ... Working with the Executive Director and Assistant Executive Director to evaluate program ...
Case Manager Supervisor
New York, NY · On-site
$22 - $28.25/hr
As Case Management Supervisor for one of our Homebase programs, you'll be responsible for providing ... Working with the Executive Director and Assistant Executive Director to evaluate program ...
Case Manager Supervisor
$22 - $28.25/hr
As Case Management Supervisor for one of our Homebase programs, you'll be responsible for providing ... Working with the Executive Director and Assistant Executive Director to evaluate program ...
Case Manager Supervisor
$22 - $28.25/hr
As Case Management Supervisor for one of our Homebase programs, you'll be responsible for providing ... Working with the Executive Director and Assistant Executive Director to evaluate program ...
Special Ed Case Manager (Fully Remote)
Petaluma, CA · On-site +1
$40 - $75/hr
Special Ed Case Manager ( PART-TIME, Remote - California Only) Only apply if you live in California ... ABOUT US Executive Functions, Inc., dba EF Specialists (EFS), is the most comprehensive executive ...
Special Ed Case Manager (Fully Remote)
Petaluma, CA · On-site +1
$40 - $75/hr
Special Ed Case Manager ( PART-TIME, Remote - California Only) Only apply if you live in California ... ABOUT US Executive Functions, Inc., dba EF Specialists (EFS), is the most comprehensive executive ...
Case Manager
$20.20 - $22.72/hr
... as: CEO's in the Park, Holiday Food Baskets and Christmas Toy Store. Perform other duties as ... case management Function/Technical Skills • Must have knowledge of or possess the ability to ...
Case Manager
$20.20 - $22.72/hr
... as: CEO's in the Park, Holiday Food Baskets and Christmas Toy Store. Perform other duties as ... case management Function/Technical Skills • Must have knowledge of or possess the ability to ...
The Director partners with executive leadership and interdisciplinary teams to align case management practices with organizational goals, regulatory standards, and quality benchmarks while fostering ...
The Director partners with executive leadership and interdisciplinary teams to align case management practices with organizational goals, regulatory standards, and quality benchmarks while fostering ...
Case Manager
Bell, FL · On-site
$18.75 - $24.25/hr
Position Summary The Case Manager is responsible for delivering exceptional customer service and ... O to improve the efficiency of PMG Requirements: Description of Primary Attributes General ...
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Case Manager
Bell, FL · On-site
$18.75 - $24.25/hr
Position Summary The Case Manager is responsible for delivering exceptional customer service and ... O to improve the efficiency of PMG Requirements: Description of Primary Attributes General ...
Executive Case Manager information
See salary details
$14.42 - $16.98
6% of jobs
$19.37 is the 25th percentile. Wages below this are outliers.
$16.98 - $19.54
20% of jobs
The median wage is $21.93 / hr.
$19.54 - $22.09
25% of jobs
$22.09 - $24.65
21% of jobs
$25.29 is the 75th percentile. Wages above this are outliers.
$24.65 - $27.21
9% of jobs
$27.21 - $29.76
5% of jobs
$29.76 - $32.32
4% of jobs
$32.32 - $34.88
3% of jobs
$34.88 - $37.43
2% of jobs
$37.43 - $39.99
2% of jobs
$39.99 - $42.55
1% of jobs
$14
$24
$42
How much do executive case manager jobs pay per hour?
What is the difference between Executive Case Manager vs Case Manager?
| Aspect | Executive Case Manager | Case Manager |
|---|---|---|
| Credentials | Typically requires a bachelor's degree in social work, nursing, or related field; certifications like CCM or NASW are common | Usually requires a bachelor's degree; certifications like CCM are also common but less specialized |
| Work Environment | Often works with high-level clients, executives, or complex cases in healthcare or corporate settings | Works with diverse client populations in healthcare, social services, or community settings |
| Employer & Industry | Hospitals, insurance companies, corporate health programs | Hospitals, clinics, social service agencies, community organizations |
While both roles involve coordinating care and advocating for clients, Executive Case Managers typically handle more complex cases with higher-level clients and may require advanced certifications. Case Managers generally work with a broader client base across various settings, focusing on standard case management tasks.
How does an Executive Case Manager typically collaborate with multidisciplinary teams to ensure comprehensive client support?
What are the key skills and qualifications needed to thrive as an Executive Case Manager, and why are they important?
What is an Executive Case Manager?

Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 5 days ago
Job description
The Executive Case Manager provides expertise on insurance coverage and common access and reimbursement challenges affecting patients, healthcare providers and clients. The Executive Case Manager responsibilities include education on the access and reimbursement support tools available from PharmaCord and participating program, advising HCPs and/or patients and caregivers on the benefits and program eligibility for a specific patient, and educating HCP offices on Payor processes and procedures.
Key Responsibilities:
The responsibilities include, but are not limited to the following:
- Relationship Management
- Builds trusted relationships with patients, prescribers, and appropriate client stakeholders regarding reimbursement inquiries and challenges through proactive communication, timely and accurate execution of deliverables and demonstrated relentless passion for helping patients.
- Manages all relationships in a manner that adheres to all relevant laws, regulations, program-specific operating procedures and industry standards related to access and affordability, including HIPAA and insurance guidelines.
- Managed through call/contact center structure, this role supports inbound and outbound calls to patients, caregivers, specialty pharmacies and healthcare professionals.
- Performs post Benefits Investigation calls to patients and/or physicians explaining coverage options and next steps in the access journey.
- Manages all client inquiries as appropriate, such as case specific statuses.
- Manages HCP inquiries, as applicable, pursuant to business rules.
- All communications with the client’s field teams will remain compliant and adhere to ways of working protocols outlined between PharmaCord and the client teams. Inbound Call Management
- Manages inbound calls as directed by the program-approved FAQs
- Triage patients to internal or external resources as appropriate.
- Personalized Case Management
- Provides personalized case management to patients and HCPs including outbound communication to HCPs, specialty pharmacies and patients to communicate benefit coverage and/or appropriately help drive next steps in obtaining coverage and/or access to prescribed medicine. All communications for case management will follow the guidelines set forth for the program and only provide information publicly available and/or outlined in the patient insert.
- Leverages electronic tools to identify benefits and payer coverage; completes manual benefit investigation as needed.
- Identifies and communicates patient’s plan benefit coverage including the need for prior authorization, appeal, tier exception, and/or formulary exclusions.
- Serves as a subject matter expert to internal team as required and appropriate.
- Uses electronic resources to obtain benefit coverage outcome and if needed, outbound call to payers and HCPs to follow up on proper submission and/or outcome.
- Coordinates nurse teach with nurse educators, as applicable to program.
- Supports adherence services as applicable to program.
- Identifies peer support resources for patients.
- Proactively communicates needs for reverification of prior authorization or re-enrollment.
- Identifies and reports adverse events, product complaints, special situation reports and/or medical inquiries received in accordance with program operating procedures and the Business Rules.
- Documents all activities within the PharmaCord Lynk system, maintaining detailed records of reimbursement activities, including claims status, payments, and appeals.
- Generate reports and analysis as needed to identify trends and opportunities for improvement.in accordance with business requirements.
- Utilize Valeris’ values as the driving force behind the team’s success
- On time adherence to training deadlines for all corporate policies and procedures
- Ensure all SOPs are followed with consistency
- Perform additional tasks or projects as assigned
Qualifications:
- Completion of Bachelor's degree (or higher) required
- A degree in healthcare administration, social science or similar related fields is strongly preferred.
- Minimum two years of experience in healthcare access delivery or management is strongly preferred.
- 5-10 years of experience in insurance reimbursement, patient access, direct patient care, and/or patient education experience will be considered in lieu of degree.
- Will consider other certifications and five or more consecutive years of experience in relevant field. Certification examples include PACS (Prior Authorization Certified Specialist), CHES (Certified Health Education Specialist) or CCM in healthcare or social science (Certified Case Manager).
- Strong understanding of medical terminology, coding systems (ICD-10, CPT, HCPCS), and insurance processes.
- Demonstrated examples of executing within guardrails recognizing urgency and consistently delivering patient centric results.
- Excellent attention to detail and organizational skills.
- Ability to prioritize tasks and work efficiently in a fast-paced environment.
- Effective written and verbal communication and interpersonal skills, with the ability to interact professionally with diverse stakeholders.
- Demonstrates the ability to think critically and issue resolution.
- Knowledge of healthcare compliance regulations, including HIPAA and Medicare/Medicaid guidelines.
- Bi-lingual skills are a plus.
- We are located in Jeffersonville, IN. Flexibility to travel on-site may be necessary.
- Remote work eligibility is subject to all work from home criteria met and based on business need
Physical Demands amp; Work Environment:
- While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit for long periods of time, use hands to type, handle or feel; and reach with hands and arms. Prefer candidates who can type at least 35 words per minute with 97% accuracy.
- Although very minimal, flexibility to travel as needed is preferred.
- This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.
Work Work for Valeris:
- Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
- Additional health support, including telehealth and Employee Assistance Program (EAP) services
- Company match on Health Savings Account contributions
- Free Basic Life and AD amp;D coverage equal to your annual earnings, with a minimum of $50,000 and a maximum of $300,000
- Company-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability
- 401(k) Retirement Savings Plan with 100% match on the first 5% you contribute, with immediate vesting
- Paid Time Off (PTO) and Sick Leave to support work-life balance
- Team members receive nine paid holidays plus two floating holidays
- Opportunities for advancement in a company that supports personal and professional growth
- A challenging, stimulating work environment that encourages new ideas
- Work for a company that values diversity and makes deliberate efforts to create an inclusive workplace
- A mission-driven, inclusive culture where your work makes a meaningful impact
Due to an increase in hiring scams, please be aware that if you are selected to move forward in our hiring process, a member of our Talent Acquisition team will contact you directly using an official @valeris.com and/or @echo.newtonsoftware.com email address regarding next steps in our interview process.
Please Note:- PharmaCord will never use Microsoft Teams to reach out to candidates for interview scheduling. However, video interviews are typically conducted via Microsoft Teams. Official meeting links will always be sent from an @valeris.com or @echo.newtonsoftware.com email address, or through our scheduling platform, Calendly.
- We will never request your bank account information at any stage of the hiring process.
- We will never send a check (electronic or physical) to purchase home office equipment.
If you receive any suspicious communication regarding employment with PharmaCord, please report it to our Talent Acquisition team immediately at careers@valeris.com